Provider Demographics
NPI:1538875141
Name:BACHARDY, EMILY BETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BETH
Last Name:BACHARDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:BETH
Other - Last Name:CASEBOLT-SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:510 S. INDEPENDENCE BLVD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1155
Mailing Address - Country:US
Mailing Address - Phone:757-568-0559
Mailing Address - Fax:757-260-9330
Practice Address - Street 1:510 S. INDEPENDENCE BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1155
Practice Address - Country:US
Practice Address - Phone:757-568-0559
Practice Address - Fax:757-260-9330
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647701041C0700X
VA09040148541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical